Getting To Know You
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Birthday (Month/Day Only)
Occupation & Nature Of Business/Position
Background
What should I know about your background or history that you believe will help me understand you and allow me to better support you?
What motivates you?
What habits, activities, or thought processes do you believe need to be dropped, simplified, or let go of in order to truly move forward, quickly?
Is there anything else I should know? (e.g. are you currently in therapy, on medication, in a twelve-step program, etc.?)
Your Goals
Working with a coach usually generates accelerated personal growth. Most clients use a coach to accomplish several specific goals.
What are the 1-3 most important things you'd like to accomplish as we work together over the next months? Please be very specific.
What change in you needs to take place so you can accomplish these objectives?
What, if anything, is likely to get in the way or prevent you from accomplishing any of these things?
What's the most important thing you need from me as we work on these objectives?
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